Jose M Gonzalez, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME68684 Issued in FL

Practice address

3601 Federal Hwy
Miami, FL 33137-3795

Phone

(305) 567-6611

Fax

(305) 576-0008

NPI assigned

Jul 27, 2006

Last updated

Nov 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRT Behavioral Services PLLC

  • Psychiatry Physician
  • Fort Lauderdale, FL
  • NPI 1063856938
  Medicare reassignment NPD
• Bayview Center for Mental Health Inc

  • Community/Behavioral Health Agency
  • North Miami Beach, FL
  • NPI 1912123456
  NPD (past)
• Florida Department of Health

  dba Gadsden County Health Deparment

  • Public Health or Welfare Agency
  • Quincy, FL
  • NPI 1346446895
  NPD (past)
• Henderson Behavioral Health, Inc.

  • Family Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1154272706
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1376557454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-567-6611",
            "fax_number": "305-576-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-567-6611",
            "fax_number": "305-576-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME68684",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME68684",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME68684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "27701S",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379235800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Antonio Gonzalez, PA
• Jose Antonio Gonzalez, LMHC
• Jose Daniel Gonzalez
• Jose Edwardo Gonzalez
• Jose Luis Gonzalez, MD
• Jose Noel Gonzalez, M.D.
• Joshua Gonzalez, AGACNP
• Juan C Gonzalez
• Juan Carlos Gonzalez, DMD
• Juan Carlos Gonzalez, LMFT

• Psychiatry Physician in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.